The italian interactive system for addiction data management

Transcription

1 The italian interactive system for addiction data management High risk drug use and drug treatment in Europe 2014 Bruno Genetti Lisbon September 2014

2 Rationale Italian legislation governing drugs explicitly calls for the establishment of a drug addiction monitoring centre as well as the constant monitoring of the phenomenon, in terms of both supply and demand On a European level, the EMCDDA has established data output standards, to ensure the uniform description of the varying magnitudes of the phenomenon across Europe On an international level, UNODC periodically collects information on the drug phenomenon using another set of standards, which differ in part from those applied at national and European levels The Department for Anti-drug Policies (DAP) must equip itself with an integrated system for the collection and management of information and the production of outputs in accordance with national, European and international standards

3 Project Objectives To put into effect an interactive system for the management of information on drugs in order to fulfil national, European and international information obligations To adopt standard procedures for information handling and quality monitoring at local, regional and national levels

4 Management Characteristics Provides the DAP and Regional monitoring centres with operational support for the analysis of quality control data in order to fulfil national, European and international information obligations, in line with monitoring centre objectives and activities Analyses the epidemiological indicators for drug addiction by means of an automatic procedure, in accordance with national, European and international standards Prepares, by means of an automatic procedure, tables and graphs for inclusion in reports, in fulfilment of national, European and international information obligations Provides the opportunity to develop additional indicators in addition to the pre-existing standards, it also prepares ad hoc regional reports, in accordance with the requirements of the DAP monitoring centre Provides the opportunity to perform real-time analysis of data collected in fulfilment of national and the European information obligations

5 Data sources and flows Alternatives to incarceration Primary prevention Justice system interventions Drug-related crime Ministry of Justice Ministry of Education, Universities and Research Drug production, supply and trafficking Drug use among special populations Ministry of Defence Price and purity Prevalence from non-healthcare sources Law enforcement operations GPS Survey 2012 pop years of age SPS 2012 Survey pop years of age Drug use among special populations (DTLR) "AquaDugs" and "Ariadrugs" projects NNIDAC (National Network for Drugand Alcohol-related Accidents) Treatment outcomes Social exclusion Warning system Regions National Monitoring Centre for Addictions Department for Antidrug Policies Primary prevention Ministry of the Interior Ministry of Health Prevention of drug-related accidents Drug-related crime High-risk drug users Drugs operations and seizures Drug-related traffic accidents Acute drug-related deaths Socio-medical treatment centres Users in treatment Drug-related hospital admissions Treatment provided by Local Drug Addiction Services (Ser.T) and in prison facilities Socio-medical treatment centres Drug-related infectious diseases Drug-user deaths

6 The National Interactive System on Addiction

7 Receiving and storing information flows

8 Quality control and data cleaning

9 Data analysis

10 The Interactive System Interactive navigation: automatic updating of the indicators -charts and graphs -selecting filters available in the left menu Selezione della REGIONE

11 Drafting standard reports pdf format or export of tables and charts (such as images or figures )

12 Adopting standard procedures: the Treatment Demand Flow TDI Protocol 2.0 and 3.0 DPA (National Focal Point)

13 Treatment Demand Flow and N.I.S.A. TDI Protocol 2.0 and 3.0

14 Dataset quality analysis - COVERAGE COVERAGE Coverage provided by the archive Selezione della REGIONE DATI DI CONTATTO GRUPPI DI PRESTAZIONI SOSTANZE D USO ESAMI HBV ESAMI HCV ESAMI HIV

15 Dataset quality analysis - COMPLETENESS Selezione dell ASL Tables Completeness of the archives Selezione della REGIONE

16 Dataset quality analysis - CONSISTENCY Selezione dell ASL Consistency analysis Completeness of the archives Selezione della REGIONE Opportunity to export the subject codes that produce data inconsistencies

17 Selezione della REGIONE Data analysis TDI Table

18 Data analysis TDI Delta System Selezione della REGIONE

19 Standard Procedure Output

20 The European network of information systems on addictions

21 Thank you for your attention Presidency of the Council of Ministers Department for Anti-drug Policies